Official Airplane Report Form (15 September 1920)

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A uburn University Libra ries

NON-CIRCULATING 1~111111~11111111
3 1706 025 847 54 7
File D 60.l / 46

A IR SERVICE INFORMATION CIRCULAR .


( HEAV IE R - TH AN -A l R )

PU BLISHED BY THE CHIEF OF AIR SERVICE, WASHINGTON, D. C.

Vol. I September 15, 1920 No. 97

·oFFICIAL
AIRPLANE REPO.R T ,FORM

Ralph Brown Draughon


LIBRARY -

MAR 27 2013
Non·Depoit,ory
Auburn University

WASH INGTON
GOVERNMENT PR INT ING OFFICE
1920
OFFICIA L ·AIRPLANE REPORT.

SUMMARY.

Place oftest ............................................... Date . . . . ............... .. .... ................ 19 ..

Airplane................................... Mfrs. No ... : .... Type ...................... ·......... .

Duty... ...................... . ..... . . ... Crew (No. ) .......... '.. Engines (Kind- No. ) ............ . . . .. .. ... .

DIM ENSI ONS.

Span (maximum) ........ ft ........ in. Length (overall) ........ ft. Height (overall) ........ ft. (t1il on ground ).

Wing area (total , including ailerons) .. ... . sq. ft.


AI R SCREW.

Material .................. . ... . . Tips (kind) ....................... . No. blades .... .. .... .. ...... . . . . ...... .

Mfrs. No .. .... . A . S . No . ... . .. Diam ...... . ft ....... in. Pitch ...... ft ....... in.

Clearan ce (horizontal position) ...... in.


WEIGHTS .

Empty (inc. water) ............................. . ... . ....... lbs.


Gasoline (., .. :. U . S. gals.) ........ lbs.
Oil( ...... U.S . gals.)..... . ....... lbs.
Crew (No ....... ).......... . .... . .. lbs.
Passengers (No ....... ) ..... . .. ..... lbs. Useful load ....................................... . . . . . .... lbs:
Armament . . .. . ........ . . . . .. . ... lbs. Useful (p er cent gross) ..... .
Reg. equipment. .... .... .. . . ...... . lbs. Tot'l.l weight fully loaded . ................ . .. .. ..... . .... .. .lbs.
Freight.................. . ....... lbs.

Weight per sq . ft . ... ... . . : ....... ·. .. . ..... . .... lbs. Weight per horsepower ............. -·... . ... . .... . lbs.

Performance.1 In climb. In horizontal flight.

Altitude, ft.' Temp., °F.' Time, min . Engine, Climb, Gas . cons. , Speed, Engine, Gas . cons.,
R.P .M. ft. min. gals . hr. M. P .H.' R.P.M. gals. hr .

000 ............ .
6,500
10,000
15,000
20,000
25,000
I
(') 100 1· ........ .
(') 0 ......•.

1 Resu lts (not) corrected to standard air conditions . a Service ceiling.


2 Calibrated instrument readings. • Absolute ceiling.
Barometer (ground) ............ in.
Landing speed ............ M. P.H. Minimum speed ............ M. P.H. (at sea level).
Endurance: Full throttle at 10,000 ft. (including climb) . ..... hrs . ... . .. min .
2591-20 (2)
3
DESCRIPTION AND CHARACTERISTICS.
PRINCIPAL DIMENSIONS.

Maximum span .. _..................... . . .......... ft. ' Height axis air screw shaft above ground- e
Maximum length .. ..................... · .. . ..... .. .. ft. zontal.. __ ... . ............ ... .... ... .
Maximum height............... .. .... . . . ........... ft . Propeller clearance with airplane at rest.
Maximum height when folded .... . t.... . ........... ft.
WIK GS.

Wing section. I Upper wing. Intermediate wing. Lower \\ing.

~:::~.-.:::::::: ::: :::::::: :::::: :::::::::::::::: :;:::::I::::::::::::::::·:::::::::::::: ::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::


Surface (inc. center section) ............... square feet ......•.... ... .... .. .................... ·; . .................................... ..... •... . ...
Incidence R. wing at root . ................... degrees ..... .... ........ . ................ _... _.............. _..... _....................... . ....... .
Incidence R. wing at tip. ____ ... : . .. . . .. _._. _degrees ..., _. _.. •. . .. .... ... ·- •. .. ...•.. ... ........... . ....... . . .. ............................•.. . . ..
Incidence L. wing at root ... _._. __ .. ..... .. .. degrees .. __ . .. _............... . ........ ..... . ......................................... _. _. _. _. ... __
Incidence L. wing at tip_ . . ___ · ·-··· · · · __ .. _.degrees .•.... . . .. . .. .. ... ... .. ............................ . ........ • . .... ·.. .. ...... . •... .... ••.....
Dihedral angle .... ..... . . ·- ___ -·-·-··-··-·- .. degrees . . - ...... ... .... ... - -- . ... - ............ . ........... · · ·· ····· .. .. ··· ·· ·· ·- ·- -- -- -- -- •· ····· · ·
1

1'01'AL SUPPORTI NG SURFA CE AREA (inc. ailerons) -·····-··-···-························· ....... . sq. ft.
Gap (upper) at fuselage .. _______ ._._.___ _ ___ ... _... it., at outer struts __ .. . . . .. _._ . . __ .. __ ._. __ - . - .... - ... ft.
Gap (lower) atfuselage_···--· : ·-··-···-· -· '- ·· ···-·ft., at outer struts . .... ... ·-·· ··- -· · ---·--·· -.. . .... - - .ft_
Stagger at center section..... ..... ...... . .. .... ... in., at outer struts._....... .......... .... .. . ......... in.
In termed . plane "(at center section) ... _. ... . ......... in. , at outer struts ....... .. ....... _.. .... .. . . _. __ .. _.in.
Sweepback, t op wings ............... ,... . .. .. .. .. deg., b ottom wings ...... .. .......... __ ...... . ........ deg.
AILERONS.

Arrangement.
Number.
On upper plane. On interl:nediate plane. On lower plane.

Length of span ...... ... .. . .... . ... . .... ... . .. ... feet . . . . .... ... . .............. . . . . ! . . . .... . . . _... . . .. ... ........ .. . .. ........... ___ . .... _...... .
Chord ... _... .... ................ _._ ... _... _...... feet __ .. _....... '.. ___ . _............................ _. _. _. ______ ................ _. . . . __ ......... .
Distance ctr. to longitudinal axis of airplane . . ___ feet .................. _................. _.... ... .....•.... ..• .. ......•. . .... . •.. _.... _...... ... .
Balance area_ ........... __________ .. __ . __ .square feet ___ ............. _. _. _.... . ....... . .... _·.. ___ .. _..... _. _............ ... ............... . ... . . .

Total ailerons area ........ _...... .. square feet .. . _.... _..... _..... _.... . __ . ___ ... _. ________ .......... .. . ........•.. . ... -... .. ....• . ·- .... .

CENTER SECTION.

Area _____________ . __ sq . ft . Dimensions. (It.) -· ---·--------·--··· Contents----·--- -····-···-·- ·--- ·---···-· ..


HORIZONTAL STABILIZER. VERTICAL STABILIZER.

Setting (to lower wing chord)_ ....... . ....... ·.· ..... deg. Area . .. . ·-···················-···- · ····· · · ···-···sq. ft.
Span ___ ...... _... _........... _................... .. . ft. Height .. ...... ... .... .... __ ............ .. ... . ..... ft.
Chord ...... _.......... . ................. ." .......... ft. Length·-·-··., ................. . ..... _...... .. ..... . ft.
Shape ...... __ ._ .............. _..... .. .. . ... . ........ . .
Area-T otal. ...... . ... _........ . ........ .. ...... sq. ft.
ELEVATOR.
' RUDDER.
Total area ...... . . .. _.............. :, ............. sq. ft.
Total area_ ..... .......................... _....... sq. ft.
J3alance area._ . .......... _.. __ . ..... . ... .. ....... sq. ft.
Balance area .. ................... ...... ... ... '. ... sq. ft.
Length at hinge. _............ _........... _........... ft.
Height at hinge_ . ............... _..... ... ...... ..... . ft.
Distance- Hinge to C. G. of airplane. ___ ._ ........... ft.
Distance- Hinge to C. G. of airplane ... ... .. ... .. . _. . ft.
LANDING GEAR.
FUSELAGE . Number of wheels .. . ..... _........ . .. (double) (single) ..
Maximum cross section shape .... _.......... , ... . ...... . Arrangement .......... ... . .............. .. ............ .
Maximum·cross-section area_ ..................... . sq. ft. Tread (i nside) .. _..... in ; (outside) .......... _........ in.
Maximum cross-section dimensions ...... _...... ... ... ft. Shock-absorbing system _..... ... _..................... .
Distance of maximum section from leading edge, lower Braking device ... _......... . _. ...... . .. .. ........ - ... .
w . ............... ·.............................. ft. Wheel hubs ahearl of Q_ G .... . ..................... . . in.
4
DESCRIPTION AND CHARACTERISTICS.

POWER PLANT .

, (One sheet for each engine if of different type or location . l

ENGINES .

No . used.................... Location ..... . ..... . ... ... . ..... . _... _... _....... . ............. . ............... .
Type .............................. Factory No .............. . ........... . .... A. S. No ............... . ..... .
Make . ........................... RatedH. P .......................... : . Rated R.P . M .................... .
For high speed horizontal flight, sea level , actual H. P. developed at .................. R. P. j\L ........... _.. H. P.
Bore ................ . ...... . ..... . .... in. Gas consumption (per H. P. hr.) ... _._ ........... . ... . ........... . lbs.
Stroke ............·....... . .. . ......... in. Oil consumption (per H . P. hr. ) ............. . .......... . ..... . .... lbs. •
Compression ratio ..... ·........ . .. . ............... Weight dry ........................ ... . _.. ___ .. _. .... _... lbs .
·weight water (in cyl. jackets) ............. .... .. . .. lbs. YVeight p er H.P .................... . .... . .......... lbs.
IGN ITION. ,I
Battery or magneto.... . ................... Make ........ .. ... . ..... . ... . Single 01: dual. ................ . ... .
Starting magneto . ................ ... .... No .. . . . .......... . .. . _. .... Type ............... _._ . . .. : ...... .. . .
Running magnetos............... . ........ No. . . . . . . . . . . . . . . . . . . . . . . . . Type . .. ....... . . . ......... . ..... . . .
Advan ce ..... . .......... .. _.. . .. Degrees (fixed or adjustable) .... _. .............. . ... . ....... . ..... .. ..... . . .
CARBURETORS.

Make........................ Type... . .... . .. . ............ No. used . ...... .. . . . _.. . . .. . . ... . .. . _. ....... . .
.Jet setting. . . . . . . . . . . . . . . . . . . . . . . . Choke. . . . . . . . . . . . . . . . . . . . . . . . Compensator . ............................ . .
Arrangement air intake ....... ... . .. ..... . .... . ....... Gas drains . . .. .... . ............. . .............. . ..... .
Altitude control.. ·........... . . . .. .. . ........ . Effective altitude .. . ......... . . . .. .. ..................... .. .. ft.
COOLING SYSTEM.

Main radiators: No. used . . .... .. ............................... .


Make.......... . ......... . ......... Type. ........ . ............. . ...... Location ..... . ·.. . . . ...... . ........ _.
Position .. . . . ................... Frontal area . . .... . .... ... ... . .... .. sq . ft. Depth ............ .. ......... . in.
Length ............ . ....... in. Width .......... _... . . . ... in. Radiating surface ........ . .. ...... . ... . .... sq. ft.
Capacity ............. S. gals. Weight of water. ......... . . lbs. Flow p er min . . ....... . ............ . ....... gals.
Weight of radiator. .. ............. . .... .. ....... . . . .... . .. : ....... . . -- . . . . . . . . . . . . . . . . . . . . ... .. .. . . ... . .. lbs.
Regulation of cooling .. . ........ . . . . ... _. .. . _. .. _.. _. _.... _..... _.. .. .. . . .. ... . .. _............ . ................ .
Thermometer: Make......................... . .. . . . ....... .. ... . .............. Type .. .. .......... _.... .. .... .
Auxiliary radiators: No. used_ . . .. . . ..... . .. . .. . . . ... _.... . ..... ... .. . ......... . . _. . ...... __. . .. ....... _....... .
Make .... . ... _. . . . . _.......... _... _ Type.... . ............ . ............ Location .... . .... . .......... .. ... .. .
Position ........ : ............... Frontal area . . .... . .......... . .... sq.ft. Depth .......... .. ............... in.
Length ............... . .... in. Width .................... in. Radiating surface . . _............. .. ........ sq. ft
Capacity . . .... .. . _. . U . S. gals. 'Neight of water ... . ........ lbs . Flow p er min .. . ... . ............. ... ... . .. gals.
Weight of radiator .......... . .... . .... . .. . . ... .. . .......... ,. ........ . ......... . .... . .... . ............... lbs.
Regulation of cooling . .. . .... . . .. . . .. : ..... . ........................ .. .... .. ............. . .... . ............... .
Thermometer: Make. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Type ..... _.. . . _.. .... ... ..... .
\Yater capacity-whole system ....... _... . . . ........ . ..... U. S. gals...... .......... .. ... . . ........ : ... . . lbs.
EXliAUST PIPES.

Type and number of manifolds ........... . ........................ _. ........ . ................... ." .. ........... .
Description .. . ..................... _............................. . ... . ..... . ............ .. ......... . ... .. . ... .
H.P . absorbed at various speeds of engine ..... . ......... . ..... . ... . ................... . .... . ..... . ......... .. . .
EXGINE CONTROLS.

Location and direction of operation.


Gasoline .... . . _. .... . : ............ . .. _..... _. ................... .. ................ . ... . .... . ............ . .....·
Throttle ......... . ................... - - .......... . ......................... . ..... ·... -..... .. . . ... . .. .
Air .............. . . . ... . .... . ......... .. . ·· .· ..... . .. . . . .................... ... ... . ................. . ....... . .
Altitude adjustment ....................... ... . . .. . . ...... .......... .. . .. . .................... . ........ . ..... .
Ignition .. . ............................ _.... . .. . .... ·......... ... ....... .. .......................... . .......... .
Radiator shutters .... . .......... . ...... ..... ...................... .... . ....... . .. _. . .. . ................ ....... .
TACHOJl.!E'l'ERS.

No. . . . . . . . . . . Type. . ......... . .. Location . . . . . . .......... . ........... . .. . ..... How driven . . ... . . . ... . ... .
5
DESCRIPTION AND CHARACTERISTICS.
GASOLINE TANKS.
~umber: Main ... ________________ . ____ . ____ .________ Location ________ . __ . ___ _. ___ _. __ __ _. ___ ____ _____ ___ _____
Auxiliary_------··-_._ ... ____ . ___._. ___ .. _ Location ___ . __ ___ . _____ .. ___ . ____ _.__ . ____ __ . ___ . ____ . ___
Metal used_ .. __ . ___ _._ .. __ ._.__ Type_._·___ . _____ . ____ .. ___ Protection _______ __. ________ . _. ____. _______ .. __ .•
Capacity (main tanks) ______ __u. S. gals. ; (au x . tanks) ____ ____ U. S. ,Gals. Total. _ ------------·--- · · ---U.S. gals·
Weight empty (main tanks) . _____ .lbs.; (aux . tanks) - - ______ lbs . Total weight_ _________ . . . __ _. __ _. __ . . _. _._. __lbs·
Level indicator (type and l ocation) ___ . _____ .. ____ __.. _____ __ ___ . _____ ____ . ____ ________ ________ _______ ___, _. __ __
Feed system (main)- _ . ______ . ____ . ___ . _. _. _. ___ . _. __ . __ __; (aux.) . _____ . _______ ____ . __.. ___. . _. _____ . '. ____ . _. __
OIL 'l'ANKS.
Number._. _.. __ __ __ . ______ . ___ .. ___ . . Type __ ______ . __________ . _._ ______ _ Posi tion . ______ _. _____ . __. ___ ___. _
Metal used ____ . . ___ ___ . ____ . . ____ _ Device for: Cooling. __ __ . ___ ____ . ___ . . ____ _ H eating ___ __ . ___ . ___. _____ __ _
Weight of tanks (empty) . . ___ ______ .lbs. Cap acity _. ___ __.. ____ . _______ __... ___ __ ________ _____ __ . .. . __ U. S. gals-
Methud of control _______ . __ _. __ __ _________ . ____ . . ___ . ____ . _____ __. ___ . . ___ __ ___ '. ____ . __ ___ _____ _____ __ ____ ___ _
OPERATING CONTROLS.

N u mber of controls.

Prin cipal. Secondary.

T ypes of Controls:
E leYator. . ... .
Ailerons . ... .
Rudder. ..... · · - . .... .
Engine ........ - - ---- . .

ANALYSIS OF USEFUL LOAD.


(a) Equi prnent:
I nstrum ents . ... ... . . .. . . . . . __ . . .. _. -. . .. .... - . - . - .. .. ..... . . - - - . . - - . - . . - .... - - - . .. . .. . . . . - - - . ___ . ____ .lbs:
Photographic (cJ.mera: . . . .. . P lateholder : empty , _. .. _. ;full, . _____)._. ____ _______ _. _. _. ___. _- _- . _- _.lbs.
R adio (t ype. _.. .. .. . . .. . . ... . . . _. . - - . - . - . .. ...... - - - . - . - ....... - .. - - ..... - ... - ... - .. ) . . . - - .. ____ __ __ .lbs.
Ho 1ting and ligh ting (including night flying , h e:tted clothing, etc .) . ........ _... __ _______ . _.. __ ._ ____ __ __ .lbs.
Miscellane:ms (p3,rach ute, etc . . - - . . - - ... - . - . . - . - - . - . . .. - - .. -) . . - - - - - - . - - - - ·- - - - -- - - -- - -- - - - ___ ___ __.lbs.

TOTAL ..... ___ __ __ . __ . __ ._ . ___ . __ _. ___. ___. _... _. __ ____ .. __ .. . ....... _....... _.. __.. _·- ·· -- _J bs.
(b) Armarnent:
Guns:
Kind. Number. Mount . Location . Weight (lbs.).

Ammunition:
Kincl. Amount. Weight. Magazines. Weight. (lbs.).

·- · ····· .. · ··· ···· ····· -··-·-!·······-··· -······· ··· ·- ·-··- ·- · · ··-······· ··-······ · ··-·- ···· · · ·······-······ · ·· ·· ·- ·· · ·-·-· : · ·
Sigh ts ... _. _. .. -.. ... __ __ . ____ _:____ . __ _. ___________ Synchronizers . __ . . .. _____ . __ __. . __ _. ___ __. __ _ ________ Jbs . .
Ballast-Location ..... _- _. .. _.. . - ...... . . . - . - - - . . ... . . - . - . - - - - .. - . .. - - . - - - - - - . - - - . - .. . - - - . - . - - - . - _____ . __ .lbs
TO T AL . .. _... _. __ . ___ .-· - - . - _- .. .... - . . . - - - . - ... - .. . . - .. - - .. - - - - .. - . - . - .. - - - .. .. - - . - .. - . - . _. . . . _. .lbs.
( c) B ornbing equiprnent:

T y pe rack. I Number . Location. Weight. Bombs. Weight.

·· · ·· · ···············- -·· !·· · · · ·· · ··· ···· · · · :·-·· ···-· · · · -· · ············· -···-··· ··· ······· · ····· ···········-·······- · · · · · ····· · ·-·-··-·· · ·
--· ·-··--- -·-· ·- ---·-·· --T·---- -- ··· ·· · · · ·- ····· · ····· ··-·- ·- ·· -· ·-·· ·· ·- -·-· -- -- ·- ·· · ···· ·· ··· -· -······-- · -- ·-· ·-·-·-·- ···-·- · ·-···· · ·····
.............. ·· · · ···-·· 1-- · ··•······ · ······-··· ···· · ······· · ·······-··· '· · · · · -· ··· · ········ · -· · ·············· ·- ---··- · · · ···· · · -·-· -· ·· -
' S igh ts: Kind .... . . _. _. ... , . . __ .. . __ ... . .... _. __ __ . _ Location . . _... _. __ . __ . _. _... . __ . ___ __.. - .. - . -
Total.._._ ........... _.. _._ ..... .. _.. . .. __ ... . ... __ .. . . ___ ..... _............. _. . . _. __ ... _. _. ___ . _._ lbs
6
DESCRIPTION AND CHARACTERISTICS.
ANALYSIS OF USEFUL LOAD-continued.
(d) Crew No. . . . . . . . . . . . . Locations, ..... .. . ........................ ·.......................... . . ........ lbs.
Functions .......... ........ .......... ....... ........ ...... ......... .................... . . .... . ... lbs .
Passengers-No ............. _. Locations ........ ....... ...... ..... .. . ........ . ... .. .... .. ... . . , ....... lbs.
(e ) G~soline (main tanks) ............ lbs.; (a~ixiliary) , ....... .. . ........ .. lbs.}·· __ . . _.... . . _.. . __ .
. . . ... .. . lbs.
Oil (m'l.rn t'.1nks) , . . . . .... . ... lbs.; (aux1hary) , ..... . ........ . ........ lbs.
(f) Miscellan eous (for com m ercial airplanes, etc.) .
. ....... .lbs .
. . . . . . . . . lbs .
. . . . . . . . . lbs.
Total use [ul lo:i,d (a), (b). (c) , (d), (e). and(!) ......................................... . . ....... . lbs.
Weight on front wheels ( t'.1il skid on ground ) ........... ... ... ........ . .. ..... ........ . .. ... . . . . ... . . ..... . .. lbs.
Weight on tail skid (tail skid on ground) ...... ....... . .... . .... ................. -...... .... ... , .... . . ........ lbs.
Weight on front wheels (flying position----,engine bed level ) .. . ........................... . ......... . . . . . .. ... . lbs .
Weight on tail skid (flying position) .......................................... . .................. . . .... . ... lbs.
Center of gravity (distance from wheels in fl ying position) . ...... . ............... . ..... .. .. . . . ...... . . ........ lbs.
FLYl NG QUALITIES.
"A,, WITH POWER.

Fore and aft bal- EfTectiveaess of controls.


ance poun,Js pull 1_ _ _ _ _ _ _- , - - - - - - - - , - - - - -- -
or push on ele-
vator stick. E levator. Rndder, Ailerons.

1. High s peell, horizontal Bigh t.. ......•..............•............ . . . ... . . . . . . . ... . .. . . . . ... ............ ........... ........... . .. .... : ........ .

2. Low speed, horizontal flight ............ .... ......•...... . ........•................ . . ....... . ............................ ······ ···· ·· · · · · :···
3. At best climb . . ........ . ............ . . •... . ..•.. .. . .•. ..

" B " 'VlTIIOUT POWER.

1. High speed (same speed in glide as "A" l ) ...... . ...... ..... -1····················1·········· ·········1·····················1-·-·················
2. Low speed (same speed in glid e as "A" 2) ......... ... . ............... . . . . . . ...........•..... . •.................... . ....... ..... . ........

Speed at which controls are lost (indicated air speed corrected).............................. . .. . . . . .. . .. M. P.H.
REMARKS ON STARTING.
Does m achine taxi easily? ......... . .......... . .... . .......... . .... . .......... . .................... . . . . .. ..... . . .
Does it leave the ground quickly? ...... . ...... . .... .. ... . ............ .. .... . .... . .... . ... . . . ............... . .
REMARK S ON LA , DING.
I s it easy to hold the m achin e off the ground ? . . . .............. .. ...... . . . ..... . . . .................. ...... . . ... . . .
How far does m achine roll after wheels touch the ground (in a calm)? ........ . .. . ............. .. ... . ... . ...... .. .. .
Does the machine show a tendency to nose over? . ............. . ....... .. . . .... . .. . . . . . .. ..... .. . .. . .. . .. . . .. . .. .
I
GENERAL REMARK S .

H ow does the machine behave in the following movements?


l. Vertical bank ......... . .... .. ................... . .... . .................................. . ..... . . . ......... .
2. Tail spin ................................ . ..... .......... ......... ..... ............. . .. . . . . ... .. .......... .
3. Dive ............... . ... .... . .. . .... . . . ....... . ...... . .. .. , . .............. . ..... . .... . ................ . ... .
4. Renversement. ........... . ..... ... . .. .... . ............ . ................................. . .. . .. ..... . . ... . . .
5. Side slip ..... . ................................................. . . ........ . .. ..... . ....... . .. : . ........... . . .
6. Loop ....... .. '. . .. . . . ... . .. . . . ......... . ....... . ..... ........................................... . ......... . .
Visibility .................................................. . .... . . .............................. .. ............ .
Forward view. . . . . . . . . . . . . . . . . . . . . . . . . Side view. . . . . . . . . . . . . . . . . . . . . . . . . Rear view ... ............ . ....... .
Location of controls ........... . ..................... . ...... . ............................... -. . . . . . .. : .. .. ...... .

R em arks: . .... . ..... . .... . : . ...... . . . .. . ....... . ... . . .. . ......... ·.-'· . ..... . ........................ .. ....... .

Pilot .. . ....... . ............... . . . ..... : .


P lace. . . . . . . . . . . . . . . . . . . . . . Date............. . Hour ......... .. . .
Signatme .......... ... . . ...... . .... ..... ........ .
Note. - Outline drawings and photos should accompany this report, if possible.
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